DOI QR코드

DOI QR Code

Changes of postural stability according to ankle fixation in healthy subjects

  • Jeong, Su-Hyeon (Department of Physical Therapy, Korea National University of Transportation) ;
  • Mun, A-Young (Department of Physical Therapy, Korea National University of Transportation) ;
  • Lee, Song-Eun (Department of Physical Therapy, Korea National University of Transportation) ;
  • Kim, Min-Ju (Department of Physical Therapy, Korea National University of Transportation) ;
  • Lee, Hui-Jin (Department of Physical Therapy, Korea National University of Transportation) ;
  • Baek, Kook-Bin (Department of Physical Therapy, Korea National University of Transportation) ;
  • Cho, Ki Hun (Department of Physical Therapy, Korea National University of Transportation)
  • Received : 2019.02.26
  • Accepted : 2019.03.14
  • Published : 2019.03.30

Abstract

Objective: The purpose of this study was to examine the changes in postural stability according to ankle fixation in healthy university students. Design: Cross-sectional study. Methods: Thirty healthy subjects (15 males and 15 females, 20.13 years, 167.49 cm, 65.87 kg) were recruited on a voluntary basis. The BT4 system (HUR Laps Oy, Tampere, Finland) was used to measure the static (standing posture with eyes open and eyes closed) and dynamic (external perturbation and limits of stability (LOS) in the forward, backward, left, and right side) balance abilities. External perturbation was measured by the subject's postural sway velocity and area for 20 seconds after being impacted by a gym ball. Static and dynamic stabilities were measured with ankle joint fixation and non-fixation conditions. Ankle fixation was provided using Mueller tape on both ankle joints. Results: For static stability under the standing posture, there was no significant difference between standing with ankle joint fixation and non-fixation conditions. However, dynamic stability (external perturbation and LOS in the forward, backward, left, and right side) was significantly higher in the standing with the non-fixation condition compared to the standing with ankle joint fixation condition (p<0.05). Conclusions: Our results reveal that ankle joint fixation can influence dynamic stability during standing. Thus, we believe that this result provides basic information for making improvements in postural control and may be useful in balance training for fall prevention.

Keywords

References

  1. Umphred DA, Lazaro RT, Roller M, Burton G. Neurological rehabilitation. 6th ed. London: Elsevier Health Sciences; 2013.
  2. Siqueira CM, Lahoz Moya GB, Caffaro RR, Fu C, Kohn AF, Amorim CF, et al. Misalignment of the knees: does it affect human stance stability. J Bodyw Mov Ther 2011;15:235-41. https://doi.org/10.1016/j.jbmt.2009.08.005
  3. Fransson PA, Kristinsdottir EK, Hafstrom A, Magnusson M, Johansson R. Balance control and adaptation during vibratory perturbations in middle-aged and elderly humans. Eur J Appl Physiol 2004;91:595-603. https://doi.org/10.1007/s00421-003-1013-1
  4. Boyas S, Remaud A, Bisson EJ, Cadieux S, Morel B, Bilodeau M. Impairment in postural control is greater when ankle plantarflexors and dorsiflexors are fatigued simultaneously than when fatigued separately. Gait Posture 2011;34:254-9. https://doi.org/10.1016/j.gaitpost.2011.05.009
  5. Johansson R, Magnusson M. Human postural dynamics. Crit Rev Biomed Eng 1991;18:413-37.
  6. Yaggie JA, McGregor SJ. Effects of isokinetic ankle fatigue on the maintenance of balance and postural limits. Arch Phys Med Rehabil 2002;83:224-8. https://doi.org/10.1053/apmr.2002.28032
  7. Mackey DC, Robinovitch SN. Mechanisms underlying age-related differences in ability to recover balance with the ankle strategy. Gait Posture 2006;23:59-68. https://doi.org/10.1016/j.gaitpost.2004.11.009
  8. Horak FB, Nashner LM. Central programming of postural movements: adaptation to altered support-surface configurations. J Neurophysiol 1986;55:1369-81. https://doi.org/10.1152/jn.1986.55.6.1369
  9. Shumway-Cook A, Woollacott M. Attentional demands and postural control: the effect of sensory context. J Gerontol A Biol Sci Med Sci 2000;55:M10-6. https://doi.org/10.1093/gerona/55.1.M10
  10. Hwang SJ, Woo YK, Jeon HS. Effects of immobilization of the ankle and knee joints on postural stability in standing. Phys Ther Korea 2008;15:30-7.
  11. Kim YG, Lee GH, Lee CS. The effect of wearing an ankle support on the activity of ankle muscles and standing posture balance for stroke patients. Exerc Sci 2013;22:11-21. https://doi.org/10.15857/KSEP.2013.22.1.11
  12. Gim MN, Lee SB, Yoo KT, Bae JY, Kim MK, Choi JH. The effect of olfactory stimuli on the balance ability of stroke patients. J Phys Ther Sci 2015;27:109-13. https://doi.org/10.1589/jpts.27.109
  13. Kim MK, Yoo KT. The effects of open and closed kinetic chain exercises on the static and dynamic balance of the ankle joints in young healthy women. J Phys Ther Sci 2017;29:845-50. https://doi.org/10.1589/jpts.29.845
  14. Kim MK, Kong BS, Yoo KT. The effect of shoe type on static and dynamic balance during treadmill walking in young healthy women. J Phys Ther Sci 2017;29:1653-7. https://doi.org/10.1589/jpts.29.1653
  15. Abell BA. Taping and wrapping made simple. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins; 2010.
  16. Horak FB. Postural orientation and equilibrium: what do we need to know about neural control of balance to prevent falls? Age Ageing 2006;35 Suppl 2:ii7-11. https://doi.org/10.1093/ageing/afl077
  17. Jacobs JV, Horak FB. External postural perturbations induce multiple anticipatory postural adjustments when subjects cannot pre-select their stepping foot. Exp Brain Res 2007;179:29-42. https://doi.org/10.1007/s00221-006-0763-5
  18. Nichols DS. Balance retraining after stroke using force platform biofeedback. Phys Ther 1997;77:553-8. https://doi.org/10.1093/ptj/77.5.553
  19. Blenkinsop GM, Pain MTG, Hiley MJ. Balance control strategies during perturbed and unperturbed balance in standing and handstand. R Soc Open Sci 2017;4:161018. https://doi.org/10.1098/rsos.161018